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刻意烧伤:对自焚伤害的回顾性分析
Vishal Bandaru1, Vivie Tran1, Brandon Youssi1
1Department of Surgery, Texas Tech University Health Sciences Center, School of Medicine, 3601 Fourth Street, MS6207, Lubbock, Texas, 79430, USA.
概括
自造成烧伤 (SIB) 是一种严重的伤害,通常与精神疾病有关. 尽管SIB患者数量较少,但死亡率较高,因此需要采取预防策略.
科学领域:
- 烧伤伤害研究研究
- 精神病的并发症 精神病的并发症
- 公共卫生 公共卫生
背景情况:
- 自己造成的烧伤 (SIB) 是烧伤损伤的一个研究最少但至关重要的领域.
- SIB经常与严重的精神疾病有关,导致高发病率和死亡率.
- 这些伤害通常涉及较大的全身表面积 (TBSA) 烧伤和吸入伤害.
研究的目的:
- 调查SIB患者的人口统计,临床结果和精神病相关疾病.
- 为了比较SIB患者与那些遭受袭击烧伤和非故意烧伤的人.
- 确定与SIB相关的风险因素和预测因素.
主要方法:
- 在2011年至2021年期间在第三级护理烧伤中心治疗的49名SIB患者的回顾性分析.
- 对SIB组与攻击性烧伤患者 (n=28) 和其他烧伤患者 (n=1293) 的比较.
- 统计分析以确定烧伤严重程度,结果,病史和精神病诊断之间的相关性.
主要成果:
- 与非故意烧伤相比,SIB不成比例地影响少数民族,并且与较高的TBSA,吸入伤害和死亡率有关.
- 精神疾病史,药物滥用,自我伤害和虐待是SIB的重要预测因素.
- 特定的精神疾病,如边缘性人格障碍 (25x),急性精神分裂症 (10x) 和抑郁症 (9x) 与SIB有很强的关联.
- 大多数SIB是自杀企图 (67%),通常是由汽油造成的 (35%),往往由人际争端 (27%).
结论:
- 虽然SIB患者占烧伤病例的很小一部分,但他们的比例死亡率明显高.
- 仅仅停留时间和死亡率并不是SIB的最终指标.
- 未来的战略必须侧重于预防措施和通过社区合作早期识别高风险个体,以减少SIB的发病率和严重程度.
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